Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $1,639.00 / $4,396.00	Facility		$409.75	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $116.07 / $277.18	Professional		$58.73	$116.07	$277.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $68.18 / $105.02	Professional		$55.53	$68.18	$105.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.13 / $125.10 / $218.92	Professional	50	$123.13	$125.10	$218.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $502.86 / $502.86	Facility		$502.86	$502.86	$502.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $123.55 / $233.94	Professional		$63.15	$123.55	$233.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $115.71 / $493.00	Professional		$1.32	$115.71	$493.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $91.13 / $760.46	Professional		$0.90	$91.13	$760.46
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,715.00	Facility		$408.00	$1,917.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $171.00 / $257.81	Professional		$120.59	$171.00	$257.81